ESIS Claim Representative, A&H
Company: Chubb
Location: Michigan Center
Posted on: January 27, 2023
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Job Description:
ESIS recognizes each risk management program is unique, and we
are committed to providing consultative and innovative solutions to
drive superior results. Our culture and vision enables us to
effectively operate as an extension of our clients risk management
program, aligning combined goals to form a collaborative
partnership. We recognize our clients desire to do things
differently, and we are confident that our integrated approach will
deliver better overall results. ESIS specialized claim intervention
strategy integrates an effective deployment of resources and
appropriate actions, which are essential to our success ESIS, Inc.
(ESIS) provides sophisticated risk management services designed to
reduce claims frequency and loss costs. ESIS, the Risk Management
Services Company of Chubb, provides claims, risk control & loss
information systems to Fortune 1000 accounts. ESIS employs more
than 1,500 professionals in nine regional centers and 15 major
claims offices, as well as local representatives in select
jurisdictions. We take our fiduciary responsibilities seriously and
are proud to manage over $2.5 billion of customer losses and over
320,000 new claims annually. We specialize in large accounts which
have multi-state operations. For information regarding ESIS please
visit . Summary: ESIS is seeking an experienced Accident and Health
(A&H) Claims representative for the Southfield, MI office. The
person in this role will handle and maintain all A&H claims and
file reviews under general supervision of a supervisor and as part
of the ESIS team. KEY OBJECTIVE: Under the direction of the Claims
Team Leader investigates and settles claims promptly, equitably and
within established best practices guidelines. MAJOR DUTIES &
RESPONSIBILITIES: Duties include but are not limited to: Under
limited supervision, Receives assignments and reviews claim and
policy information to provide background for investigation and may
determine the extent of the policys obligation to the insured
depending on the line of business. Contacts, interviews and obtains
statements (recorded or in person) from insureds, claimants,
witnesses, physicians, attorneys, police officers, etc. to secure
necessary claim information. Depending on line of business may
inspect and appraise damage for property losses or arranges for
such appraisal. Evaluates facts supplied by investigation to
determine extent of liability of the insured, if any, and extend of
the companys obligation to the insured under the policy contract.
Prepares reports on investigation, settlements, denials of claims,
individual evaluation of involved parties etc. Sets reserves within
authority limits and recommends reserve changes to Team Leader.
Reviews progress and status of claims with Team Leader and
discusses problems and suggested remedial actions. Prepares and
submits to Team Leader unusual or possible undesirable exposures.
Assists Team Leader in developing methods and improvements for
handling claims. Settles claims promptly and equitably. Obtains
releases, proofs of loss or compensation agreements and issues
company drafts in payments for claims. Informs claimants,
insureds/customers or attorney of denial of claim when applicable.
MINIMUM REQUIREMENTS: High level of technical claims knowledge and
competence as evidenced by a minimum of 2 years claims handling
experience in specific line of business (A&H). Experience
within a TPA environment strongly preferred. Required to obtain
specific state licenses. Knowledge of coverages; along with a good
understanding of applicable legal principles. Excellent
communication, negotiation and interpersonal skills to effectively
interact with all levels of an organization both internal and
external. Strong analytical and problem solving ability.
Demonstrated ability to provide consistent superior service to
customers. Chubb offers a competitive compensation package and
comprehensive benefits package including life, health and dental,
vision, a generous retirement savings plan, disability coverage,
stock purchase plan, flexible spending accounts, tuition
reimbursement, and business casual dress. At Chubb, we are
committed to equal employment opportunity and compliance with all
laws and regulations pertaining to it. Our policy is to provide
employment, training, compensation, promotion, and other conditions
or opportunities of employment, without regard to race, color,
religion, age, sex, sexual orientation, transgender, national
origin, disability, genetic information, veteran or marital status,
or any other characteristic protected by law. For additional
information about Chubb or its services, please visit our website
at . In order to be considered an applicant for employment with
Chubb, all applicants must go to Chubbs Careers website to apply
for the position(s) of interest and complete an online application.
If you do not complete the online application, you will not be
considered an applicant in accordance with Chubbs policy.
Keywords: Chubb, Lansing , ESIS Claim Representative, A&H, Other , Michigan Center, Michigan
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